GIDEON R WELLS
Physician/surgeon


Address: 1692 Main St, Newington, CT 06111

GIDEON R WELLS (Credential# 538574) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 26, 1995. The license expiration date date is March 31, 1996. The license status is INACTIVE.

Business Overview

GIDEON R WELLS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.005933. The credential type is physician/surgeon. The effective date is January 26, 1995. The expiration date is March 31, 1996. The business address is 1692 Main St, Newington, CT 06111. The current status is inactive.

Basic Information

Licensee Name GIDEON R WELLS
Credential ID 538574
Credential Number 1.005933
Credential Type Physician/Surgeon
Business Address 1692 Main St
Newington
CT 06111
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1948-06-11
Effective Date 1995-01-26
Expiration Date 1996-03-31
Refresh Date 2009-07-08

Office Location

Street Address 1692 MAIN ST
City NEWINGTON
State CT
Zip Code 06111

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Competitor

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City NEWINGTON
Zip Code 06111
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEWINGTON

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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